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C <br />Return Address <br />I'R16 S. L Srt�?� � A. <br />1 • TCvn�� �'/+- �CP <br />I��1,��„����1' <br />SdONOA��UNT1', GRSHINGTON <br />Document Title(s) <br />(�TM £�K�=� CA�C <br />I.,���,,�, A.��� <br />Reference Number(s) of Reialed Documenl(s) <br />'- � <br />Grentor(s) <br />Lxtr/+c / /-�ft rS !v L� /r.( C <br />Grantee(s) <br />C �r�l � �.� r ��T r <br />Additional R=_ference � s cn Faye <br />Additionai Granrors on Page _ <br />AdOiliOtlbl GfeG!@e5 GI� �cq?_ <br />L=_gal Description (abbreviated form: ie LoUBIocNJPlat er SectionlTownshiplRang=) <br />�«, ,�,� Z3 -r����,,,P Z� �-,a �� y <br />Compt=_:� L�gzl en F>;e <br />Assassor's Froperly Tax ?arcelli,ccounl IJumber <br />—C2o s��2Q�p 31 <br />:�cdiiicrai Farccl �'s on Pa3c _ <br />The p:�ditcr/Recorder ::ill rely on lhe in(crmalion pro:ided on this form. The responsibility for lhe <br />� ccuracy of the inder.ing information is Ihal o( the docunient preparer. <br />bl am requesting zn emergency nonstandard recording for an additional fee as provided in <br />P.CV'! 35.18.010. I underst�nd that the recording process requirements may cover up er otherwise <br />obscure some part of the tezt of the origin� ocu`m�c�. <br />.� <br />� � Ci ' � <br />Aulhoriz=d Signalure of Requesting Party <br />